Updated 7 May 2020
We do not currently rate services provided in sexual assault referral centres.
Background
In Nottingham, services for the support and examination of people who have experienced sexual assault are commissioned by NHS England. The contract for the provision of sexual assault referral centre services for adults in Nottingham is held by Mountain Healthcare Limited (MHL). MHL is registered with CQC to provide the regulated activities of diagnostic and screening procedures, and treatment of disease, disorder or injury.
The Topaz Centre is located in Nottingham in secure rented premises.
We last inspected the service in March 2019 when we judged that MHL was in breach of CQC regulations. We issued a Requirement Notice on 8 August 2019 in relation to Regulation 17, Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The report on the comprehensive March 2019 inspection can be found on our website at:
https://www.cqc.org.uk/location/1-5056179055
This desk based review was conducted by one CQC health and justice inspector and included a review of evidence and a teleconference with the centre manager and director of nursing.
Documents we reviewed included:
- Current training and supervision matrices
- Temperature logs for rooms where medicines were stored
- New safeguarding arrangements
- Centre attendance data for the last 12 months
We did not visit the Topaz Centre to carry out an inspection because we were able to gain sufficient assurance through the documentary evidence provided and a telephone conference.
At this inspection we found:
- Staff records demonstrated staff were appropriately trained to provide effective patient care
- Patients could be offered direct referrals into psychological therapy or sexual violence counselling support services.
- Staff training and supervision were routinely monitored by the centre manager and MHL senior managers
- The provider had worked with the police to help ensure infection prevention and control risks were addressed in the premises
- The provider had made several changes to improve safeguarding arrangements for patients
- The Topaz Centre staff worked actively with local partners to improve access and support for people who had experienced sexual violence
- The governance around medicines management had improved, and staff followed appropriate guidance.